S52.92XR
S52.92XR: Unspecified fracture of left forearm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
Billable / specific codeICD-10-CMPOA exemptleft
S52.92XR is a billable, specific ICD-10-CM code for unspecified fracture of left forearm, subsequent encounter for open fracture type iiia, iiib, or iiic with malunion. It is valid for submission on a claim.
Check S52.92XR with the rest of the claim: free scrubber7th character "R": subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
The appropriate 7th character is to be added to all codes from category S52
- A
- initial encounter for closed fracture
- B
- initial encounter for open fracture type I or II
- C
- initial encounter for open fracture type IIIA, IIIB, or IIIC
- D
- subsequent encounter for closed fracture with routine healing
- E
- subsequent encounter for open fracture type I or II with routine healing
- F
- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- G
- subsequent encounter for closed fracture with delayed healing
- H
- subsequent encounter for open fracture type I or II with delayed healing
- J
- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- K
- subsequent encounter for closed fracture with nonunion
- M
- subsequent encounter for open fracture type I or II with nonunion
- N
- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- P
- subsequent encounter for closed fracture with malunion
- Q
- subsequent encounter for open fracture type I or II with malunion
- R
- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S
- sequela
Excludes1 inherited from the categories above S52.92XR
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S52.92XR
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S52.92XR
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S52.92XR is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S52.92
- S52.92XAUnspecified fracture of left forearm, initial encounter for closed fracture
- S52.92XBUnspecified fracture of left forearm, initial encounter for open fracture type I or II
- S52.92XCUnspecified fracture of left forearm, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S52.92XDUnspecified fracture of left forearm, subsequent encounter for closed fracture with routine healing
- S52.92XEUnspecified fracture of left forearm, subsequent encounter for open fracture type I or II with routine healing
- S52.92XFUnspecified fracture of left forearm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S52.92XGUnspecified fracture of left forearm, subsequent encounter for closed fracture with delayed healing
- S52.92XHUnspecified fracture of left forearm, subsequent encounter for open fracture type I or II with delayed healing
- S52.92XJUnspecified fracture of left forearm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S52.92XKUnspecified fracture of left forearm, subsequent encounter for closed fracture with nonunion
- S52.92XMUnspecified fracture of left forearm, subsequent encounter for open fracture type I or II with nonunion
- S52.92XNUnspecified fracture of left forearm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S52.92XPUnspecified fracture of left forearm, subsequent encounter for closed fracture with malunion
- S52.92XQUnspecified fracture of left forearm, subsequent encounter for open fracture type I or II with malunion
- S52.92XSUnspecified fracture of left forearm, sequela